﻿<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8"/>
<title>Insert title here</title>
</head>
<body align="center">
<style type="text/css">
.task-view{
	background: #f8f7f9;
}
.form-table{
	margin: 10px auto;
	width:800px;
	border: 1px solid #b7b7b7;
	height: 570px;
	padding: 20px;
}    
.form-table .table-line{
	width: 90%;
	color: #333333;
	font-size: 14px;
	padding-bottom: 5px;
	height: 20px;
}  
.table-line .table-field-desc{
	width: 40%;
	float: left;
	text-align: left;
}
.table-line .table-field-value{
	width: 50%;
	float: left;
	text-align: left;
	padding-left: 20px;
}
.red-point{
color:red;
padding-left: 15px;
}
</style>
<div class="task-view">
<!-- <div >
   <img src="../bg.jpg" />
</div> -->
<form method="post" action="/kl-drs/drTaskUpload"  enctype="multipart/form-data" name="mainForm" >
	<div class="form-table clear">
		<div class="table-line clear">
			<div class="table-field-desc">上传方式:</div>
			<div class="table-field-value"><select name="uploadType" ><option value="01">单笔上传</option> </select></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">业务识别号:</div>
			<div class="table-field-value"><input type="text" name="businessNo"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">销售人员工号:</div>
			<div class="table-field-value"><input type="text" name="counterId"/><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">销售人员姓名:</div>
			<div class="table-field-value"><input type="text" name="counterName"/><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">销售人员电话:</div>
			<div class="table-field-value"><input type="text" name="counterPhone" /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">销售人员所属机构编码:</div>
			<div class="table-field-value"><input type="text" name="bankCode" /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">销售人员所属机构分行编码:</div>
			<div class="table-field-value"><input type="text" name="subBankCode"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">销售人员所属机构网点编码:</div>
			<div class="table-field-value"><input type="text" name="nodeBankCode"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">保险公司代码（省级分公司）:</div>
			<div class="table-field-value"><input type="text" name="subInsurerCode"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">产品名称:</div>
			<div class="table-field-value"><input type="text" name="productName"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">产品代码:</div>
			<div class="table-field-value"><input type="text" name="productCode"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">客户姓名:</div>
			<div class="table-field-value"><input type="text" name="customerName"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">客户证件类型:</div>
			<div class="table-field-value"><input type="text" name="customerCardType"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">客户证件号码:</div>
			<div class="table-field-value"><input type="text" name="customerCardNo" /><span class="red-point">*</span></div>
		</div>
	
		<div class="table-line clear">
			<div class="table-field-desc">客户出生日期:</div>
			<div class="table-field-value"><input type="text" name="customerBirthday" /></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">业务流水号:</div>
			<div class="table-field-value"><input type="text" name="businessSerialNo" /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">批次号:</div>
			<div class="table-field-value"><input type="text" name="batchNo"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">业务来源:</div>
			<div class="table-field-value"><input type="text" name="taskSource" /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">保险公司代码（总公司）:</div>
			<div class="table-field-value"><input type="text" name="insurerCode"   /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">交费方式:</div>
			<div class="table-field-value"><input type="text" name="paymentTerm"  /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear">
			<div class="table-field-desc">视频文件路径:</div>
			<div class="table-field-value"><input type="file" name="uploadfile" /><span class="red-point">*</span></div>
		</div>
		<div class="table-line clear" style="padding-top: 20px;">
			<div class="table-field-desc">&nbsp;</div>
			<div class="table-field-value"><input type="submit" name="提交" /></div>
		</div>
	</div>
	
</form>
</div>
</body>
</html>